Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $467.74 / $645.65	Facility		$91.20	$467.74	$645.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Professional		$562.34	$562.34	$562.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $467.74 / $537.03	Facility		$380.19	$467.74	$537.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $467.74 / $575.44	Facility		$91.20	$467.74	$575.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Professional		$562.34	$562.34	$562.34